In the traditional payment examination process, a health care institution problems a prescription and prescribes and pays for the drug to the patient at an insurance coverage pharmacy, and so on., and then the assessment request with the health care practice is built to the evaluation payment establishment. Even so, it really is impossible to judge the suitability of the appliance contents upfront for healthcare establishments. In addition, the insured / insurance company (health insurance association, and so forth.) that bears the price of prescription drugs is not entirely informed about information on drugs for example efficacy and value, and is particularly completely knowledgeable in regards to the existence of multiple options. It is usually not completed. For that reason, the selection of medicines is completely remaining into the judgment of the clinical institution, and it really is hard to physical exercise the appropriate to select medicines as a cost bearer and a buyer.
本発明により、医薬品流通市場における、医療機関・保険薬局といった供給者・処方者と、審査支払機関・保険者・被保険者といった需要者の間で、医療用医薬品の処方・購入に関わる取引に関しリアルタイムに当事者間の合意形成の有無を明確にすることが可能となる。これにより、審査支払機関・保険者は医薬品選択に関わる実効的な意思表示の機会を得ることとなり、自らが希望する医薬品処方につき選択肢が拡大、満足度・費用対効果を向上させることが可能となる。これにより、例えば、審査支払機関がより効能の高い医薬品の処方優先順位を上げることで多くの医療機関で当該医薬品が処方され、結果として被保険者間の医療サービスの質やコストの公平性が促進される。また、同等の効能を持つ複数の医薬品の中で最も安価の医薬品の処方が増加することによる保険者・被保険者の医薬品費用の低減、といった効果も得られる。
【解決手段】保険医療機関が処方する医薬品について、代替品情報、保険者の処方希望優先順位情報を入力・保持する手段、審査支払機関によるレセプト審査承認のための条件・基準を入力・保持する手段、医療機関から診療行為毎に、処方医薬品の保険適用可否に関する照会を受付け、被保険者の症状等の個人情報に基づき、照会内容が保険者・審査支払機関の指定条件に合致しているか否かを判定する手段、上記照会内容が指定条件に合致していない場合は、保険者が指定する医薬品の中から、症状等の被保険者の情報に基づき指定条件を満たす他の医薬品を検索し代替品として医療機関に通知、医療機関にて処方内容の再選択を促す手段を有するシステム。
Inside the method Procedure stage, the following processing is executed in true time. Quite simply, inquiries relating to the availability of insurance protection for prescription drugs from health care establishments are made by using communication strains through Just about every health care apply, and these inquiries are in contrast Using the enter information and specified conditions on the assessment and payment institutions and insurers talked about above. Then, the evaluation paying institution along with the insurer decide whether to reject the insurance application, distribute the result towards the health care establishment, and Exhibit it over the terminal of the healthcare institution by an input / output screen as shown in FIG. As a result of the determination, When the material in the inquiry will not conform towards the enter information and selected problems on the examination and payment establishment plus the insurance company, a pharmaceutical group gratifying these is searched and recognized and dispersed on the health-related establishment.
The present invention relates to a pharmaceutical prescription information inquiry / distribution gadget, a pharmaceutical prescription information inquiry / distribution method, as well as a pharmaceutical prescription information inquiry / distribution approach.
請求項１に記載の医薬品処方情報照会・配信システムにおいて、本システムを介して為された一連の照会履歴を審査支払機関及び保険者に配信することを特徴とする医薬品処方情報照会・配信システム。
When a prescription encouraged medicine is selected by a professional medical institution, the dealing with status / inventory standing at a close-by insurance policy pharmacy is verified and The end result is notified.
You take is a standard expression in English. In past times, the sign was imagined to acquire originate through the Jupiter sign. God of healing Jupiter can be a Greek deity. The affected particular person's quick Restoration was questioned for by utilizing this sign.
次に、図２を用いて本発明の手段が実行されるフローを時系列で説明する。本発明の手段の実行は情報システムを通じて行われるが、この実行は大別して、システムの準備段階及び運用段階の二段階に分けられる。
As a result, although keeping the fairness of obtaining clinical services, the insured / insurance provider / assessment / payment establishment has the chance to pick out a drug that may be considered attractive within the viewpoint of success, rate, etcetera. Will not be furnished ample. For that reason, the trouble from the existing invention would be that the insured man or woman / insurance company or assessment / payment institution desires to prescribe the strongest prescription among the alternate options whilst protecting the fairness of getting medical companies in Japan's healthcare coverage program.
I understand that "Firms" could make your mind up in his / her sole discretion that my ailment just is just not suitable for cure system dealing with telemedicine, and that I might have to hunt healthcare therapy and remedy in-specific person or from another supply.
Drug Look for by Illness/Symptom - Determine what a drug is used for, or if an adverse reaction could possibly be because of a certain drug.
An illustration of the configuration of such an information system is shown in FIG. In this instance of information procedure, read more at least display and output device / input unit / data storage such as ordinary notebook computer with interaction signifies set up in Every of assessment spending institution, insurance provider, insurance plan health care institution, insurance plan pharmacy Plus a central method that performs information inquiry / resolve are connected by using a communication line which include the world wide web.
This A part of the prescription also attributes the strength of your drug (the amount of milligrams, for instance) in addition the pill, capsule, or other kind during which your Health care company service provider would love you to certainly consider it. A Take Take note determined as "Disp" refers to this information about how the drug need to be dispensed.